NPI | 1730586322 |
---|---|
Former Name | SUSAN ANN BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 9519) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN305899) |
363LF0000X Nurse Practitioner, Family (Licence: CA 9519) | |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |